Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.52 / $787.00 / $8,229.00	Facility		$440.52	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.52 / $727.81 / $978.76	Professional		$440.52	$727.81	$978.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $818.80 / $818.80 / $818.80	Professional		$818.80	$818.80	$818.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $8,114.00 / $9,015.00	Facility		$7,212.00	$8,114.00	$9,015.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $793.39 / $1,046.19 / $1,477.50	Professional		$793.39	$1,046.19	$1,477.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,120.94 / $14,802.38 / $41,999.58	Facility		$1,120.94	$14,802.38	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,120.94 / $14,394.04 / $25,221.11	Professional		$1,120.94	$14,394.04	$25,221.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $989.47 / $989.47 / $989.47	Facility		$989.47	$989.47	$989.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,119.12 / $4,119.12 / $4,119.12	Professional		$4,119.12	$4,119.12	$4,119.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Facility Modifier Low / Median / High Price $631.00 / $1,121.00 / $8,582.00	Facility		$631.00	$1,121.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $262.20 / $641.10 / $1,180.73	Professional		$262.20	$641.10	$1,180.73